Alexander Grivnovics, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI004419 Issued in PA

Practice address

535 Gradyville Rd
Newtown Square, PA 19073-2812

Phone

(610) 558-5053

NPI assigned

Dec 27, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1497227755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 E MOYAMENSING AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191482527",
            "telephone_number": "267-847-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GRADYVILLE RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732812",
            "telephone_number": "610-558-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIVNOVICS",
        "first_name": "ALEXANDER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI004419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grateful Hearts LLC (Grateful Hearts Home Care)
• Kristen Lynn Grebe, PA-C
• Samantha Greeley
• Greensprings Home Health Care
• Thomas D Griffin, M.D.
• Aimee Jean Gustitis, RN
• Francine Hairston, LPN
• Lawrence David Hall, M.D.
• Christina Hamilton
• Lisa H Hamilton, PA-C

• Physical Therapy Assistant in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.